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Home My WebLink AboutX2021-2239 - Permits,fy4y� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ca 9xy Inspection Requests Phone (949)644-3255 'X2021-2239* COMB Permit: X2021-2239 Project No : 1935-2021 Combination Type - BLDG 111Z)HLCT Issued Date : Area : 2021 `� Inspection Area 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/24/2024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 511 AVENIDA LARGO NB Description: MFR RETAINING WALL TV' HIGH X 27 LF, NEW BIFOLDING DOOR SYSTEM (STOP WORK) I21-2489 tee* Legal Desc.: TR 5692 (L.L.84-214027) PAR 7 ° ° Owner: TRAMMER NICOLAS Contractor: OWNER/BLDR Architect: e° m ° °m•mc�. Address: 511 AVENIDA LARGO Address: Address: NEWPORT BEACH, CA of c Phone: 858-205-4717 Phone: Phone: State Lic: °A ° m e • e a ® e° • P (1 Applicant: TRAMMER NICOLAS Can State Lic: O/B Engineer: SLAYBAUGH RYAN MATTHEW e••e °° Address: 511 AVENIDA LARGO Lic Expire: Address: 101 WEST BROADWAY STE 1260 ° e•ao:r NEW PORT BEACH, CA Bus Lic SAN DIEGO, CA 92101 e6Y4 ... Phone. -------858-205-4717-- Lic Exp Date: Phone: 858-699.5326 State LicS-005619 • °••eoo Code Edit: 2019 Worker's Compensation Insurance Designer: ± ••e° ° Type of Construction: Carrier: Address: a°O°LO Occupancy Group: U Policy No: e°o°�° ° °°°c' Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: NO SETBACKS No of Units : 0 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20,000.00 Building Permit Fee: $416.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $361.92 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $416.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNV Plan Check : $50.75 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,245.67 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,245.67 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofessions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a dvil penalty of Ott re than five hundred dollars ($500). ((( - ( I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or ortions of the work, and the structure is not intended or offered for sale (Section 7044, u i ess and Professions Code: The Contractors' State License Law does not apply to an owner of propert wh through employees' or personal effort, builds or improves the property, provided that the iprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or iproved for the purpose of sale). I, as ownerttht%operty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not )ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). • •I•arrt exempt under the Contractors' State License Law for the following reason: y my signature belowi acknowledge that, except for my person re ' ence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal], %a $ttucture thaj I have built as an owner-buil r i it has CO entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the usines and rofEs5ions Codg, is bailable upon request wh n is a Is bmitted t the following Web site:http://www.leginfo.ca.gov/calaw.html. + n...� gnatkire of ProperYj wner or Authorized Agen Date C� IC*RAISED CONTRACTOR'S DECLARATION aefe4y affirm dl bl penalty of perjurythat I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, an my license is in full force 1d.effdbt. LicensVSI9ss License No Date Contractor Signature COMPENSATION DECLARATION RE f0 5?CF1RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE NSATiON, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ie'reliy'.affirm under penalty of perjury one of the following declarations: •••• •••••• I have and will mafitain a certificate of consent to self -insure for workers' �rformance of the work for which this permit is issued. Policy No. compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' urance carrier and policy number are: Policy Number of Agent Date I certify that, in the performance of th ork for which this issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree it, if should becomes bject t rlttrrs' compe ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Inature of Applicant DaKV, :CLARATION REG DIN ONSTRUCTION LENDING AGENCY ereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,ode). rider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and c unty ordina as and state s relating to building construction. p I authorize representatives of this city or co t to e as ied property for inspection purposes. ^ mature of ProDertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam,J A11kJ, / , DqXd ACTION DATE BY ' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED Z AQMD PERMITFINAL SBESTOS NOTIFI IS NOT APPLICABLE TO F R POSED E OCCUPANCYISCERTIFICATE OCCUPANCY ISSUED SIGNATUR